
1001 - 5000 employees
Founded 2003
⚕️ Healthcare Insurance
💊 Pharmaceuticals
🤝 B2B
Healthcare Insurance • Pharmaceuticals • B2B
Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.
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1001 - 5000 employees
Founded 2003
⚕️ Healthcare Insurance
💊 Pharmaceuticals
🤝 B2B
Healthcare Insurance • Pharmaceuticals • B2B
Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.
• Serve as a trusted advisor on finance operations, PBM workflows, and financial systems, providing guidance on process design, controls, and automation strategies. • Drive cross-functional initiatives from intake through delivery, including managing structured request intake, prioritization, and workflow tracking to ensure alignment with business goals and governance standards. • Assist finance with oversight of the end-to-end pharmacy payment operations, including 835 file generation, validation, reconciliation, and issue resolution; ensure accuracy, compliance, and effective controls across the payment lifecycle. • Deliver advanced support for financial systems (e.g., ERP, billing, payment platforms), serve as an escalation point for complex issues, and support system enhancements, integrations, and releases. • Design and implement automated workflows using tools such as Alteryx to streamline data processing, reconciliation, and reporting; monitor and govern automation to ensure reliability and data integrity. • Conduct root cause analysis (e.g., 5 Whys) and redesign processes to reduce manual effort, eliminate defects, and prevent financial leakage while improving scalability and efficiency. • Develop and govern SOPs, work instructions, and job aids to ensure standardized, audit-ready processes; support training and knowledge transfer across the organization.
• Bachelor’s degree in Finance, Accounting, Information Systems, or a related discipline, or equivalent work experience, required. • 10+ years of experience in finance, accounting, or similar operations within a PBM or healthcare environment required. • Strong working knowledge of pharmacy payments and 835 remittance processes required. • Hands-on experience with Alteryx and workflow automation required. • Experience supporting enterprise financial systems (e.g., ERP, billing, payment platforms) required. • Participate in, adhere to, and support compliance program objectives. • The ability to consistently interact cooperatively and respectfully with other employees.
• Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance • Referral Bonus Program – up to $750!
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